Promoting Enrollment in Parenting Programs Among a Filipino Population: A Randomized Trial

Area of Science:

• Public Health
• Psychology
• Intervention Science

Background:

• Evidence-based parenting programs are crucial for preventing youth conduct problems but face low engagement from hard-to-reach populations.
• Filipino adolescents experience significant mental health disparities compared to other ethnic groups.
• Low participation rates limit the reach of vital parenting interventions among Filipino families.

Purpose of the Study:

• To evaluate a culturally tailored video intervention's effectiveness in increasing Filipino caregiver enrollment in evidence-based parenting programs.
• To test knowledge and perceived susceptibility as mediators of intervention effects.
• To address mental health disparities in Filipino adolescents through improved parental engagement.

Main Methods:

• 215 Filipino participants were randomized to view either a culturally tailored video or a control video.
• The primary outcome measured was actual enrollment in an evidence-based parenting intervention.
• Mediators, including knowledge and perceived susceptibility, were analyzed using structural equation modeling.

Main Results:

• The intervention group showed significantly higher knowledge of adolescent disparities and perceived susceptibility to risks.
• Parents in the intervention group had 2.667 times greater odds of enrolling in the Incredible Years program (P = .006).
• Intervention effects were mediated by increased knowledge and perceived susceptibility.

Conclusions:

• A theory-based, culturally tailored video intervention effectively increased participation among a hard-to-engage population.
• Culturally resonant videos featuring relatable parents and health professionals can shift knowledge and behavior.
• This strategy enhances engagement in parenting interventions for vulnerable youth.